MEDICARE: DR. SUHAS NITIN PATEL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18660	NC

General Provider Information

NPI Number	:	1619285830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUHAS NITIN PATEL PHARMD

Provider Business Mailing Address
First Line	:	3914 CAPITAL BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-3412
Country	:	US
Telephone Number	:	919-876-5600
Fax Number	:	919-876-2475

Provider Business Practice Location Address
First Line	:	3914 CAPITAL BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-3412
Country	:	US
Telephone Number	:	919-876-5600
Fax Number	:	919-876-2475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	09/22/2010

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